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Newsletters July 2011 - Jefferson Cardiology Happenings

What's in this Newsletter:

Patient Recognition

Over the years, one of our pa-tients may accomplish something so unique that merits special attention. In the past, these such feats have usually focused on patients with very difficult cardiac problems making miraculous recoveries despite overwhelming odds. This month, a different type of unique accomplishment will be featured.

Ronald Macy is a 68-year-old man who developed angina in 1994 and was treated with a quadruple coronary bypass. Ron had played basketball in college and was inactive after college. After recovering from surgery, he wished to be more active and began to jog.

With time, Ron began to run longer distances. After improving his running skills, Ron came to the office with the request that he be permitted to run competitive races. After due delib-eration and a strong treadmill perform-ance, Ron was permitted to run a 5k race. Not long after that, Ron requested permission to run longer races and ultimately ran in many Pittsburgh mara-thons covering 26 miles of hilly terrain with very impressive times.

This year, 17 years past coronary bypass, Ron received special recogni-tion. In a half marathon this spring, Ron was first in the 65-69 age group finishing ahead of 32 other persons. In the total field of 9000 runners, including all age groups, he placed in 134th place or in the top 1.4% of all runners. It is unknown whether any of the other 9000 runners ever had bypass surgery or any other cardiac problems.
Of course Ron was benefitted as he never had heart damage and had two arterial grafts with longer patency rates. Yet, he has demonstrated unusual discipline and has proven how much a cardiac patient can accomplish. He is truly an example of how a cardiac patient with proper care and personal discipline and lead an active lifestyle without sacrificing quality of life. Though individual differences and capabilities exist, other cardiac patients can find great encouragement in Ron’s accomplishments, and can also experience better quality of life and better health with physical exercise and a disciplined diet.

Focus On Hypertension

One of the most widely read journal articles by cardiologists this year was the Consensus Document on Hyper-tension in the Elderly. In the following paragraphs emphasis will be given to behavioral factors that can help control high blood pressure or hypertension. Next month, focus will be directed towards current recommendations for use of medications in treatment of hypertension. Hypertension will be described as blood pressure over 140/90 mm mercury.

Lifestyle modification may be helpful to lower blood pressure when only mild elevation is present and should be employed by all hypertensive patients. Maintaining normal body weight is very important. Studies have shown a 5-20 mm drop in blood pressure for every 20 pounds of weight loss. A DASH diet rich in fruits, vegetables, potassium and in low fat dairy products may drop blood pressure by 8-14 mm mercury. Reduction of sodium to 2.4 grams or 6 grams of sodium chloride may drop blood pressure 2-8 mm mercury. Activity such as brisk walking at least 30 minutes four or more days per week may drop blood pressure 4-9 mm mercury. Limiting men to no more than 2 alcoholic drinks and women to no more than 1 drink per day may reduce blood pressure 2-4 mm mercury. Also, smokers are strongly encouraged to stop smoking. These numbers should strongly encourage hypertensive patients to modify behavior and diet.

Practice News!!!

We are pleased to announce a new physician to our practice. Please join us in welcoming Dr. Inna Lamm to Jefferson Cardiology. Dr. Lamm comes to us from Arnold Family Practice. She specializes in Internal Medicine and her main focus with our practice will be geared toward venous disease management with Dr. Geskin. We are very excited to have Dr. Lamm join our practice which will give us the opportunity to better serve our patients.

Happy Birthday to All

We would like to wish a very Happy Birthday to all of our staff mem-bers celebrating this month. They in-clude our nurse practitioner, Jennifer Wicks, business manager, Susan Myers, medical assistants, Tonya Fohr and Tina Mankin. Best wishes to all of you!!

Cilantro Shrimp

1 tablespoon dark sesame oil 3 ½ tablespoons lower-sodium soy sauce
3 cups (1-inch) slices green onion ½ tsp fresh ground chile paste or hot sauce
2 tablespoons minced peeled fresh ginger 2 cups chopped fresh cilantro
5 garlic cloves, minced 3 cups hot cooked brown rice
1 pound large shrimp, peeled and deveined

1. Heat wok or large skillet over high heat; add oil to pan, swirl to coat. Add onions, ginger, and garlic to pan; stir-fry 1 minute. Add shrimp; stir-fry 2 minutes. Stir in soy sauce and chile paste; stir-fry 1 minute or until shrimp are done. Remove pan from heat; add cilantro, stirring constantly until cilantro wilts. Serve over rice.

Calories 356; Fat 6.9g (sat 1.2g, mono 2.3g, poly 2.8g); Protein 29g; Carbs 44.3g; Fiber 5.1g; Cholesterol 172mg; Sodium 653mg; Calcium 143mg.

A publication of Jefferson Cardiology Association
Alan D. Bramowitz, M.D. | Michael S. Nathanson, M.D. | Gennady Geskin, M.D.

Jefferson Hospital Medical Building
Suite 403, Coal Valley Road
P.O. Box 18285

Belle Vernon Office
1533 Broad Ave
Belle Vernon, Pa 15012